The week of October 11, Carolina Access practices will receive a new PCCM agreement from CCNC. Signing this agreement allows practices to receive or continue to receive practice assignment data or quality data for NC Medicaid Direct beneficiaries. This does not apply to Carolina Access providers participating in the EBCI Tribal Option.
Topics Related to Medicaid Direct
Information for providers to prepare for the reporting year 2023 Payment Error Rate Measurement audit.
All state Medicaid programs are required to incorporate methodologies.
The NCTracks provider record serves as the source of truth for managed care entities.
Providers are encouraged to confirm which PA types are included in this long-term design.
This replaces the bulletin, published on Aug. 4, 2021
The State solution for reporting electronic visit verification and aggregation is Sandata.
When an NC Medicaid Managed Care member becomes part of a population exempted or excluded, they are disenrolled and transition to NC Medicaid Direct.
Providers must submit ALL eyeglasses prior approval requests for NC Medicaid Direct beneficiaries and health plan members to NCTracks.
Guidance to pharmacies on prior authorizations that transfer from a health plan to NC Medicaid Direct.